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Adult Health NR-325 Exam 1 (1)
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Adult Health NR-325 Exam 1 (1)
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Adult Health NR-325 Exam 170-100 mg/dL - ANS-What is the range of normal blood sugar?
to regulate blood glucose levels on a consistent basis - ANS-What is the purpose of
giving basal insulin?
Polydipsia
Polyuria
Polyphagia - ANS-What are the 3 P's of Diabetes?
because your body is trying to get rid of the extra glucose - ANS-Why is polyuria seen in
diabetes?
because your body thinks its dehydrated from all the urination - ANS-Why is polydipsia
seen in diabetes?
polyphagia means super hungry
People with diabetes are super hungry because there is no glucose being let into the
cells (which is what is needed to create energy/ATP) This makes the body think that it
needs more glucose - ANS-Why is polyphagia seen in diabetes?
-kussmaul respirations- rapidly blowing off excess CO2
-altered LOC (may seem intoxicated)
-increased potassium (because H+ is going into the cell, forcing potassium out of the
cell)
- the 3 P's
- sweet fruity smelling breath - ANS-What are some signs that a person is experiencing
diabetic keto acidosis?
First give fluids (isotonic- NS 0.9%NaCl)
Then, give regular insulin by IV.
*Note that Regular insulin is the ONLY insulin that can be given by IV - ANS-What
would be the first thing you would do for someone who is experiencing DKA? Then what
would you do?
they compensate via their respiratory system (deep, rapid respirations) because when
they are experiencing DKA they are in metabolic acidosis.
, *This compensation occurs rapidly but, is not extremely effective and a therapeutic
approach is needed to help the problem - ANS-What kind of compensation does the
body do when someone is experiencing DKA? why?
It is used in diabetes and it decreases hepatic glucose creation and increases insulin
sensitivity - ANS-What is metformin used for? what is its MOA?
lifestyle changes - ANS-What should be tried before metformin therapy?
beta cells in the pancreas - ANS-What makes insulin?
honeymoon period lasts 3-12 months after diagnosis
It is known as the honeymoon period because only a small amount of insulin is needed
because their are still beta cells creating insulin - ANS-Stage 1 of DM Type I is AKA
____________________
How long does this stage last?
They stand for beta cell decline, meaning the more beta cells that are ruined, the less
insulin is being produced and then the more insulin is needed via medication. -
ANS-What are the 3 stages of Type I DM for?
Pre-diabetes because this is elevated but not high enough to be labeled diabetes -
ANS-If an individuals A1C is between 5.7%-6.4% they are in what category of diabetes?
amount of glucose on hemoglobin in the blood - ANS-What does A1C measure?
140-199 mg/dL because this is elevated but not high enough to be labeled diabetes -
ANS-What range of 2 Hr GTT (2-hour glucose tolerance test) is considered
pre-diabetic?
100-125 mg/dL - ANS-What range of intermittent fasting glucose is pre-diabetic?
A1C- > 6.4
FBG- >/= 126 mg/dL
random BG- > 200 mg/dL
2 Hr GTT- >/= 200 mg/dL - ANS-What are the ranges for A1C, fasting blood glucose,
random blood glucose and 2 Hr GTT for someone with Type II DM?
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